Course Title: Implement and monitor care of the older person
Part B: Course Detail
Teaching Period: Term2 2020
Course Code: NURS5394C
Course Title: Implement and monitor care of the older person
School: 174T School of VE Engineering, Health & Science
Campus: Bundoora Campus
Program: C5365 - Diploma of Nursing
Course Contact: Annelize Grech
Course Contact Phone: +61 3 9925 4468
Course Contact Email: annelize.grech@rmit.edu.au
Name and Contact Details of All Other Relevant Staff
Course coordinator: Nazish Bhalwany (Bundoora campus)
Course Contact Email: nazish.bhalwany@rmit.edu.au
Course educator: Pamela Jones (Bundoora Campus)
Course Contact Email: pamela.jones@rmit.edu.au
Course educator: Norma Salvador (City campus)
Course Contact Email: norma.salvador@rmit.edu.au
Nominal Hours: 75
Regardless of the mode of delivery, represent a guide to the relative teaching time and student effort required to successfully achieve a particular competency/module. This may include not only scheduled classes or workplace visits but also the amount of effort required to undertake, evaluate and complete all assessment requirements, including any non-classroom activities.
Pre-requisites and Co-requisites
There are no pre-requisites for this unit of competency.
Course Description
This course describes the skills and knowledge required to perform nursing interventions to support the social and emotional wellbeing and nursing care needs of the older person in both acute care settings and residential care environments.
This course applies to enrolled nursing work carried out in consultation and collaboration with registered nurses, and under supervisory arrangements aligned to the Nursing and Midwifery Board of Australia regulatory authority legislative requirements.
This course includes a Work Integrated Learning experience in which your knowledge and skills will be applied and assessed in a real or simulated workplace context and where feedback from industry and/or community is integral to your experience.
This course includes clinical placement.
National Codes, Titles, Elements and Performance Criteria
National Element Code & Title: |
HLTENN013 Implement and monitor care of the older person |
Element: |
1. Respond to the health requirements of an older person. |
Performance Criteria: |
1.1 Apply knowledge in own practice of age-related physical changes and transitions and the psychosocial needs of the person and their family or carer. 1.2 Identify possible age-related effects of drugs and medications on the person and make adjustments as required in consultation with registered nurse. 1.3 Identify age-related pathophysiological disorders and how they may affect the person and their family or carer. 1.4 Communicate effectively and appropriately with the person, including making adjustments for people who have sensory impairments. 1.5 Perform preventive health assessment of the person to identify their needs in providing preventive care, in consultation and collaboration with a registered nurse. 1.6 Adapt work practices to reflect knowledge of theories of ageing and apply best practice care guidelines for older people. 1.7 Develop and implement strategies to ensure companionship and social inclusion in consultation with the person. 1.8 Recognise signs that indicate the person has, or may develop, an oral health problem. 1.9 Identify and respond to signs of distress or behaviours of concern, especially in a person unable to communicate their symptoms or concerns. |
Element: |
2. Contribute to the care plan for an older person. |
Performance Criteria: |
2.1 Assess the person's health status in consultation and collaboration with registered nurse and using assessment tools specific to the aged care environment. 2.2 Document and report health findings according to organisation procedures. 2.3 Assist the person to identify their abilities and limitations in capacity for self-care. 2.4 Contribute to development of the person's nursing care plan within the context of the health care setting and organisation policy and procedures. 2.5 Ensure the person, and the family or carer as appropriate, understand the implications of the person's admission into the health care facility. 2.6 Discuss with the person, family or carer possible impacts of age-related pathophysiological disorders including impact on the person's capacity to perform daily living activities. 2.7 Document responses to nursing interventions, and report changes and concerns to a registered nurse. |
Element: |
3. Apply nursing practice in the aged care environment. |
Performance Criteria: |
can adversely impact the older person. 3.2 Consider in own practice the impact of complex issues involved in aged care, including impacts on family or carer. 3.3 Consider own values, attitudes and beliefs towards ageing and the older person, and monitor own performance to ensure all interventions are conducted appropriately and within scope of practice of the enrolled nurse. 3.4 Promote health maintenance with the older person and provide relevant information on available community services for the person, family or carer. |
Element: |
4. Identify requirements and address issues in aged care nursing practice. |
Performance Criteria: |
4.1 Identify legal requirements and possible ethical issues and other issues of concern in aged care practice, including possible signs of elder abuse. 4.2 Ensure own work practice accords with legal requirements, is ethical and supports the rights and dignity of the older person and their family or carer. 4.3 Advocate for the person, their family or carer as required within own role parameters and organisation policies and procedures. 4.4 Observe and respond appropriately to physical, emotional and mental signs of stress in the person. 4.5 Provide care for the deceased person using standard precautions and in accordance with organisation policy and procedures. 4.6 Provide support and comfort for grieving family or carer within own role parameters. |
Element: |
5. Use strategies that relate to the progressive and variable nature of dementia. |
Performance Criteria: |
5.1 Identify the nature of dementia and use appropriate treatments and nursing interventions when working with the person with dementia. 5.2 Provide activities appropriate to the gender, culture and age of the person with dementia, reflecting their individual likes and dislikes. 5.3 Use a range of strategies, such as validation strategies, instructed activities and re-orientating therapy to relieve distress and agitation in the person with dementia. |
Element: |
6. Develop and implement strategies to minimise impact of challenging behaviours. |
Performance Criteria: |
6.1 Observe the person and document their behaviours and relevant environmental factors to assist in determining triggers contributing to challenging behaviour. 6.2 Consider potential impact the behaviours may have on the person and others in determining an appropriate response. 6.3 Implement best practice strategies that minimise the impact of behaviours, in consultation with the registered nurse and in accordance with organisation policies and procedures. |
Learning Outcomes
The critical learning for this course takes place in clinical placement within the health sector and within simulations in RMIT laboratories.
You will be instructed in skills through demonstration, modelling and role-play. Skills development is supported by lectures on theory and underpinning knowledge, classroom discussions, group work, research and reflective practice.
On completion of this course you should be able to:
- Respond to the health requirements of an older person.
1.1 Apply knowledge in own practice of age-related physical changes and transitions and the psychosocial needs of the person and their family or carer.
1.2 Identify possible age-related effects of drugs and medications on the person and make adjustments as required in consultation with registered nurse.
1.3 Identify age-related pathophysiological disorders and how they may affect the person and their family or carer.
1.4 Communicate effectively and appropriately with the person, including making adjustments for people who have sensory impairments.
1.5 Perform preventive health assessment of the person to identify their needs in providing preventive care, in consultation and collaboration with a registered nurse.
1.6 Adapt work practices to reflect knowledge of theories of ageing and apply best practice care guidelines for older people.
1.7 Develop and implement strategies to ensure companionship and social inclusion in consultation with the person.
1.8 Recognise signs that indicate the person has, or may develop, an oral health problem.
1.9 Identify and respond to signs of distress or behaviours of concern, especially in a person unable to communicate their symptoms or concerns.
- Contribute to the care plan for an older person.
2.1 Assess the person’s health status in consultation and collaboration with registered nurse and using assessment tools specific to the aged care environment.
2.2 Document and report health findings according to organisation procedures.
2.3 Assist the person to identify their abilities and limitations in capacity for self-care.
2.4 Contribute to development of the person’s nursing care plan within the context of the health care setting and organisation policy and procedures.
2.5 Ensure the person, and the family or carer as appropriate, understand the implications of the person’s admission into the health care facility.
2.6 Discuss with the person, family or carer possible impacts of age-related pathophysiological disorders including impact on the person’s capacity to perform daily living activities.
2.7 Document responses to nursing interventions, and report changes and concerns to a registered nurse.
- Apply nursing practice in the aged care environment.
3.1 Identify external factors and common stereotypes associated with ageing and how these can adversely impact the older person.
3.2 Consider in own practice the impact of complex issues involved in aged care, including impacts on family or carer.
3.3 Consider own values, attitudes and beliefs towards ageing and the older person, and monitor own performance to ensure all interventions are conducted appropriately and within scope of practice of the enrolled nurse.
3.4 Promote health maintenance with the older person and provide relevant information on available community services for the person, family or carer.
- Identify requirements and address issues in aged care nursing practice.
4.1 Identify legal requirements and possible ethical issues and other issues of concern in aged care practice, including possible signs of elder abuse.
4.2 Ensure own work practice accords with legal requirements, is ethical and supports the rights and dignity of the older person and their family or carer.
4.3 Advocate for the person, their family or carer as required within own role parameters and organisation policies and procedures.
4.4 Observe and respond appropriately to physical, emotional and mental signs of stress in the person.
4.5 Provide care for the deceased person using standard precautions and in accordance with organisation policy and procedures.
4.6 Provide support and comfort for grieving family or carer within own role parameters.
- Use strategies that relate to the progressive and variable nature of dementia.
5.1 Identify the nature of dementia and use appropriate treatments and nursing interventions when working with the person with dementia.
5.2 Provide activities appropriate to the gender, culture and age of the person with dementia, reflecting their individual likes and dislikes.
5.3 Use a range of strategies, such as validation strategies, instructed activities and re-orientating therapy to relieve distress and agitation in the person with dementia.
- Develop and implement strategies to minimise impact of challenging behaviours.
6.1 Observe the person and document their behaviours and relevant environmental factors to assist in determining triggers contributing to challenging behaviour.
6.2 Consider potential impact the behaviours may have on the person and others in determining an appropriate response.
6.3 Implement best practice strategies that minimise the impact of behaviours, in consultation with the registered nurse and in accordance with organisation policies and procedures.
Details of Learning Activities
All learning activities you will undertake within the course are designed to provide you with the skills, knowledge and attitudes required to perform to the standard expected in the health industry.
Learning activities include: Face to Face Classroom teaching, Tutorials, On line learning activities, practical lab sessions, Student Directed Learning and Clinical Placement.
Teaching Schedule
Week |
Topic |
Learning activities |
Assessment Task
|
Week 7 |
Module 1-Introduction and attitudes to ageing
Module 2-Physiology and theories of ageing
|
Compulsory Learning activity 1: Online information for the health of older people Compulsory Learning activity 2: Nursing interventions and older patients with physical disabilities
|
Introduction to Assessment Task 1, Assessment Task 2, Assessment Task 3 and Assessment Task 4 |
Week 8 |
Module 3- Age related pathophysiology
Module 4-Basic nursing care for older person
|
Compulsory Learning activity 3: How can nurses improve the health of older people? Compulsory Learning activity 4: Basic nursing care for older people
|
|
Week 9 |
Module 5-Legal and ethical requirements |
Compulsory Learning activity 5: Patients who have lost their mental capacity |
Assessment Task 1 Due as per Canvas |
Week 10 |
Module 6-Complex care needs for older people
Lab 1- Communication (soft skills) Culturally Safe Care Admission/Assessment (physical – basic)
|
Compulsory Learning activity 6 : Responding to negative behaviour
On campus practical lab session
|
|
Week 11 |
Module 7-Dementia, depression and delirium |
Compulsory Learning activity 7: Patients with dementia |
Assessment Task 2 Due as per canvas |
Week 13
|
Module 8-Behaviors of concern
Lab 2-Activities of Daily Living (Basic)
|
Compulsory Learning activity 8 : Responding to behaviors of concern
On campus practical lab session
|
|
Week 14
|
Lab 3-Delivering fundamentals of basic nursing care. "Putting it all together" Care of the deceased person
|
On campus practical lab session |
|
TBA |
|
|
Assessment Task 3 is due one week following Clinical Placement 1 (dates will vary upon availability). Assessment Task 4 is due in Clinical Placement (dates will vary upon availability). |
Learning Resources
Prescribed Texts
Title: Tabbner's Nursing Care- Theory and practice Creator: Gabrielle KoutoukidisContributor: Kate Stainton and Jodie Hughson Edition: Seventh Edition Publisher: Elsevier Australia |
(ISBN) 9780729542272 (ISBN) 0729542270 |
References
Koutoukidis, G., Stainton, K., & Hughson, J. (2017). Tabbner's Nursing Care Theory and Practice. (7th ed.). Australia: Elsevier. |
(ISBN) 9780729542272 (ISBN) 0729542270 |
Other Resources
Classroom, AV equipment, computers, library access, RMIT clinical lab environment and lab equipment, participation in lab activities (observational checklist) documented in students clinical skills lab book, clinical placements.
Overview of Assessment
Assessment will incorporate a variety of methods including written, oral, practical tasks and activities.
You will be asked to personally demonstrate to your teacher/assessor the practical skills gained during this course to the relevant industry standards. Assessment activities will occur throughout this course and feedback will be provided at regular intervals
|
Assessment Tasks
Assessment Task 1- Knowledge assessment task (30 Questions)
Assessment Task 2- Product Assessment task (Case study)
Assessment Task 3- Product Assessment task (Report-reflections based on clinical placement)
Assessment Task 4- Practical Assessment task (Clinical placement)
Assessment Task 1: Knowledge assessment task (30 questions)
This short-answer assessment task is one of the four assessment tasks you need to complete satisfactorily, in order to be deemed competent for this unit. This assessment task allows you to demonstrate your knowledge required to perform nursing interventions to support the social and emotional wellbeing and nursing care needs of the older person in residential care environments.
This is an individual task in which all 30 questions must be answered at a SATISFACTORILY level to be deemed satisfactory.
This assessment task will be marked as (S) or (NS).
Assessment Task 2: Product assessment task (case study)
This product assessment task is the second of the four assessment tasks you need to complete satisfactorily, in order to be deemed competent for this unit. This assessment will allow you to demonstrate your knowledge required to perform nursing interventions to support the social and emotional wellbeing and nursing care needs of the older person in residential care environments.
You will be required to answer all the questions asked in the Part 1, 2 and 3 of the case study at a satisfactory level. And, you will be assessed against the criteria as described in the marking guide provided to you.
This assessment task will be marked as (S) or (NS).
Assessment Task 3: Product assessment task (Report-reflections based on clinical placement)
This product assessment task is the third of the four assessment tasks you need to complete satisfactorily, in order to be deemed competent for this unit. This assessment will allow you to reflect on your experience during your first Aged Care Clinical Placement.
You will be required to reflect on your experience during your first Aged Care Clinical Placement and provide responses for the reflective questions that have been asked in this task.
This assessment task will be marked as (S) or (NS).
Assessment Task 4: Practical assessment task (Clinical Placement)
This practical assessment task (Clinical placement) is the final of four assessment tasks you need to complete satisfactorily, in order to be deemed competent for this unit.
You will attend 2 weeks of aged care clinical placements. During placement you will practice and be assessed on your ability to work within the legal and ethical parameters that apply to professional nursing practice.
This practical assessment (Clinical Placement) will allow you to demonstrate your ability to identify, plan, implement care for an older person, demonstrate strategies to deal with the older people with dementia and challenging behaviours.
This assessment task will be marked as (S) or (NS).
Students are required to achieve “Satisfactory” in all 4 assessment tasks to achieve competency in this course.
A final Competent (CA) or Not yet competent (NYC) will be the final grade for this course.
Assessment Matrix
Element |
Performance criteria |
|
|
|
|
|
|
Assessment Task 1: AT 1 |
Assessment Task 2: AT 2 |
Assessment Task 3: AT 3 |
Assessment Task 4: AT 4 |
1. Respond to the health requirements of an older person. |
1.1 Apply knowledge in own practice of age-related physical changes and transitions and the psychosocial needs of the person and their family or carer. |
X |
X |
X |
X |
1.2 Identify possible age-related effects of drugs and medications on the person and make adjustments as required in consultation with registered nurse. |
X |
X |
|
X |
|
1.3 Identify age-related pathophysiological disorders and how they may affect the person and their family or carer. |
X |
X |
|
X |
|
1.4 Communicate effectively and appropriately with the person, including making adjustments for people who have sensory impairments. |
|
X |
X |
X |
|
1.5 Perform preventive health assessment of the person to identify their needs in providing preventive care, in consultation and collaboration with a registered nurse. |
X |
|
|
X |
|
1.6 Adapt work practices to reflect knowledge of theories of ageing and apply best practice care guidelines for older people. |
X |
|
X |
X |
|
1.7 Develop and implement strategies to ensure companionship and social inclusion in consultation with the person. |
X |
|
X |
X |
|
1.8 Recognise signs that indicate the person has, or may develop, an oral health problem. |
X |
|
|
X |
|
1.9 Identify and respond to signs of distress or behaviours of concern, especially in a person unable to communicate their symptoms or concerns. |
X |
X |
|
X |
|
2. Contribute to the care plan for an older person. |
2.1 Assess the person’s health status in consultation and collaboration with registered nurse and using assessment tools specific to the aged care environment. |
X |
X |
|
X |
2.2 Document and report health findings according to organisation procedures. |
X |
|
|
X |
|
2.3 Assist the person to identify their abilities and limitations in capacity for self-care. |
|
X |
|
X |
|
2.4 Contribute to development of the person’s nursing care plan within the context of the health care setting and organisation policy and procedures. |
|
X |
|
X |
|
2.5 Ensure the person, and the family or carer as appropriate, understand the implications of the person’s admission into the health care facility. |
|
X |
|
X |
|
2.6 Discuss with the person, family or carer possible impacts of age-related pathophysiological disorders including impact on the person’s capacity to perform daily living activities. |
X |
X |
|
X |
|
2.7 Document responses to nursing interventions, and report changes and concerns to a registered nurse.
|
X |
|
|
X |
|
3. Apply nursing practice in the aged care environment. |
3.1 Identify external factors and common stereotypes associated with ageing and how these can adversely impact the older person. |
X |
|
|
X |
3.2 Consider in own practice the impact of complex issues involved in aged care, including impacts on family or carer. |
X |
|
|
X |
|
3.3 Consider own values, attitudes and beliefs towards ageing and the older person, and monitor own performance to ensure all interventions are conducted appropriately and within scope of practice of the enrolled nurse. |
|
|
X |
X |
|
3.4 Promote health maintenance with the older person and provide relevant information on available community services for the person, family or carer.
|
X |
X |
|
X |
|
4. Identify requirements and address issues in aged care nursing practice. |
4.1 Identify legal requirements and possible ethical issues and other issues of concern in aged care practice, including possible signs of elder abuse. |
X |
X |
|
X |
4.2 Ensure own work practice accords with legal requirements, is ethical and supports the rights and dignity of the older person and their family or carer. |
X |
X |
|
X |
|
4.3 Advocate for the person, their family or carer as required within own role parameters and organisation policies and procedures. |
X |
|
|
X |
|
4.4 Observe and respond appropriately to physical, emotional and mental signs of stress in the person. |
X |
|
|
X |
|
4.5 Provide care for the deceased person using standard precautions and in accordance with organisation policy and procedures. |
X |
|
|
X |
|
4.6 Provide support and comfort for grieving family or carer within own role parameters. |
X |
|
|
X |
|
5. Use strategies that relate to the progressive and variable nature of dementia. |
5.1 Identify the nature of dementia and use appropriate treatments and nursing interventions when working with the person with dementia. |
X |
X |
X |
X |
5.2 Provide activities appropriate to the gender, culture and age of the person with dementia, reflecting their individual likes and dislikes. |
X |
|
|
X |
|
5.3 Use a range of strategies, such as validation strategies, instructed activities and reorientating therapy to relieve distress and agitation in the person with dementia. |
X |
|
X |
X |
|
6. Develop and implement strategies to minimise impact of challenging behaviours. |
6.1 Observe the person and document their behaviours and relevant environmental factors to assist in determining triggers contributing to challenging behaviour. |
X |
X |
|
X |
6.2 Consider potential impact the behaviours may have on the person and others in determining an appropriate response. |
X |
X |
|
X |
|
6.3 Implement best practice strategies that minimise the impact of behaviours, in consultation with the registered nurse and in accordance with organisation policies and procedures. |
X |
X |
X |
X |
Other Information
Please refer to the RMIT student Page for extensive information about study support, assessments, extensions, appeals and a range of other matters:
https://www.rmit.edu.au/students/contact-and-help/support-services
Attendance
You are to attend all sessions in order to engage in the required learning activities, ensure the maximum opportunity and gain competency in the course.
Special consideration
Use the special consideration process if your circumstances are such that you cannot fulfil assessment requirements. For example, if you are unable to complete any piece of assessment by a due date, you will need to apply for an extension.
Re submissions
You must be competent in all elements to successfully complete the course
You are permitted to have a maximum of 2 re submissions for this course; however each individual assessment may only be resubmitted once.
re submissions are not automatic and will only be approved at the discretion of the program coordinator after consultation with the teacher.
All re submissions must be completed and submitted no more than 7 days after our work has been assessed.
Please note an opportunity to repeat clinical placement is not guaranteed and will be at the discretion of the clinical Coordinator/Program Manager.
Academic Integrity and Plagiarism
RMIT has a strict policy on plagiarism and academic integrity. Please refer to
https://www.rmit.edu.au/students/student-essentials/rights-and-responsibilities/academic-integrity
Working with Children Check and Police Check
This course requires a Working with Children Check and Police Check
Recognition of Prior Learning and Credit Transfer
If you think you have some or all of the knowledge and competencies described, please discuss the Recognition of Prior Learning and Credit Transfer options with may be available to you with your Course Coordinator:
For more information go to:
https://www.rmit.edu.au/students/search?q=prior+learning
Course Overview: Access Course Overview